Alexandria Health District(Indicators Selected in Collaboration with VDH Central Office)2016 Population Maryland Hospital Virginia District of8,411,808 ColumbiaAlexandria 155,810 Alexandria CityVirginia Population by Race, 2016 Alexandria Population by Race, 2016 0.6% 0.8% 7.7% 7.1%20.6% 23.9% 71.6% 67.6% Source: National Center for Health Statistics Source: National Center for Health StatisticsTeen Pregnancy Rates Local HD InformationPer 1,000 Teenagers (Ages 10-19) Alexandria Health Department’s (AHD) mission is toSource: Virginia Vital Records and Health Statistics Electronic Birth Certificates protect and promote health and well-being. AHD Public Health Specialty Clinics are essential elements of Alexandria’s safety net system, and they include the following: • The Prenatal Clinic, which offers pregnancy and post- partum care. • The Nurse Case Management Program, serving high-risk pregnant women, infants, and children. • Preventive Clinic services and programs, including the Nutrition/WIC Program, Immunization Clinic, Family Planning, Sexually Transmitted Infection Clinic, HIV/AIDS services, and the Tuberculosis Programs. • AHD’s Teen Wellness Center provides health services to Alexandria youth. • The Environmental Health Division operates Food Safety, Vector Control, and Aquatic Health programs. • Public Health Emergency Management helps Alexandria prepare for, respond to, and recover from public health emergencies; it includes the Medical Reserve Corps, a program to recruit and retain volunteers. • AHD’s Epidemiology Program investigates, monitors, and offers guidance to prevent and control communicable diseases; it also analyzes and interprets data to guide program and policy development. • The Community Partnerships Program provides research, policy development, and public health leadership to Alexandria so that all persons will have an equal opportunity for health. For more information, visit www.alexandriava.gov/health
Adults (18+) Reporting Binge Drinking* Adults (18+) Reporting Tobacco Use*,in the Past 30 Days, 2014 2014*Had 5 or more drinks for males or 4 or more drinks for females on an occasion *Have smoked 100 cigarettes in their lifetime and now smoke every day orSource: Behavioral Risk Factor Surveillance System some days or use chewing tobacco, snuff, or snus Source: Behavioral Risk Factor Surveillance SystemPopulation in Poverty* and Uninsured**, 2015 STI Rates Per 100,000 Population*fnitnaooTdmttahivvileliayidnCruscyeiaoznglemseinuaoesngiitdBsriauslceprocsehmosainctupashoiluadlsysneietritsoehdnaeitsfnoeatmpdooeiflvtyeem’srrmtotynh.inerTeeyhsweihnohocloofdfmi,icstiehainetl hpnprooetvhvseeharrotttylfyda.tsmIhftrihaelyasfhtaaonvmalddirlseyyv’dsbeoyry Source: Virginia Department of Health STD Annual Reports**Persons without health insurance, under age 65 yearsSource: US Census Bureau OpioidsPrescription Opioid Overdose Mortality Rates Fentanyl and/or Heroin Overdose Mortality RatesPer 100,000 Population Per 100,000 PopulationSource: Office of Chief Medical Examiner, Fatal Overdose Tables Source: Office of Chief Medical Examiner, Fatal Overdose TablesFor more Alexandria health data, please visit http://www.healthmattersalexandria.org
Alleghany Health District2016 Population West Virginia Hospital Alleghany Covington City CountyVirginia 8,411,808 Craig BotetourtAlleghany 179,082 County County Roanoke Salem City CountyVirginia Population by Race, 2016 Alleghany Population by Race, 2016 0.6% 2.5% 0.3% 7.1% 6.1%20.6% 71.6% 91.1%Source: National Center for Health Statistics Source: National Center for Health StatisticsChronic Disease Hospitalization Three-Year Rolling Rates, 2010-2012 Local HD InformationPer 10,000 Population The Alleghany Health District is working to prevent epidemics and the spread of disease, protect the environment, prevent injury, promote and encourage healthy behavior, respond to disasters and assist communities in recovery and assure the quality and accessibility of health services for all members of our communities.Source: Virginia Inpatient Hospitalization and Virginia Health Information In 2016, the district’s departments provided the following activities/services:Teen Pregnancy Rates • Clinical activities: 12,226 (FY16)Per 1,000 Teenagers (Ages 15-19) • Dental sealants and varnish: 180 • EP&R exercises/drills: 15 • Early Intervention services for children: 10,030 • Flu vaccines: 3,880 • Long-term care screenings: 430 • Pool/tourist establishment inspections: 160 • Rabies exposure investigations: 360 • Restaurant inspections: 1,150 • Vital records requests: 12,150 • Well and septic system services: 350 • Women, Infants, & Children (WIC) participants: 1,820 Note: These numbers do not include health education, car seat distribution, vector control activities, outbreak investigations, community planning, TB activities, communicable disease investigations, or complaint investigations. For more information, please see www.vdh.virginia.gov/alleghany.Source: Virginia Vital Records and Health Statistics Electronic Birth Certificates
Population in Poverty and Uninsured, Adults (18+) Reporting Tobacco Use*,2014 2014Source: US Census Bureau *Have smoked 100 cigarettes in their lifetime and now smoke every day or some days or use chewing tobacco, snuff, or snusAdults (18+) Reporting Poor Mental Source: Behavioral Risk Factor Surveillance SystemHealth in the Past 30 Days, 2014 STI Rates Per 100,000 PopulationSource: Behavioral Risk Factor Surveillance System Source: STD*MIS, Division of Disease Prevention, Virginia Department of Health; Enhanced HIV/AIDS Reporting System (eHARS), Division of Disease Prevention, Virginia Department of Health; data reported as of 12/31/2015 OpioidsPrescription Opioid Overdose Mortality Rates Fentanyl and/or Heroin Overdose Mortality RatesPer 100,000 Population Per 100,000 PopulationSource: Office of Chief Medical Examiner, Fatal Overdose Tables Source: Office of Chief Medical Examiner, Fatal Overdose Tables
Arlington Health District2016 Population Maryland HospitalVirginia 8,411,808 District of Arlington 230,050 ColumbiaSource: U.S. Census Bureau, 2016 American ACrloinugnttoynCommunity Survey 1-Year EstimatesVirginia Population by Race, 2016 Arlington Population by Race, 2016 0.6% 0.8% 7.1% 9.9% 11.6% 20.6% 77.6% 71.6%Source: U.S. Census Bureau, 2016 American Community Survey 1-Year Estimates Source: U.S. Census Bureau, 2016 American Community Survey 1-Year EstimatesChronic Disease Hospitalization Rates, 2010-2012 Where We Live, Work, and PlayPer 10,000 Population* Matters*Age-adjusted to the Year 2000 Standard Population In Arlington:Source: Virginia Inpatient Hospitalization and Virginia Health Information • 64.7% of residents live in multiunit housing.Top Reportable Communicable Diseases by Incidence Rate, 2016 • 41% of residents live along a metro corridor;(Excluding Chronic Hepatitis and Sexually Transmitted Infections) (26% residents use public transportation to commute to work.Disease Arlington Rate Virginia Rate • 73% of residents live in households with two or Per 100,000 Per 100,000 fewer people.Campylobacteriosis* 23.1 • 46.8% of waste is recycled annually (77,009 tons).Salmonellosis* 11.3 18.8 • Residents are actively involved in the community: 14.2 3.7 o 62 registered civic and citizen associations, o 59 advisory boards and committees, and o 178 community service organizations. • 222,300 people work in Arlington; government employees make up 22% of Arlington’s labor force. • 167 county parks and 89 miles of walk/bike trails. • 1,067 food establishments are inspected annually. • 516,242 miles are biked annually. • Population density peaks at 35 people per acre. • 23% increase in bike share docks in FY 2017, from 81 to 100. Source: Arlington County Government*FGoioadr-bdoiranseis* 10.5*FoodborneSource: Virginia Electronic Disease Surveillance System (VEDSS)
Population in Poverty, 2014 Population Uninsured, 2014 Average Number of Poor Mental Health Days in Past 30 Days (Age-Adjusted)Source: US Census Bureau American Community Source: US Census Bureau Small Area Health Source: 2017 County Health RankingsSurvey 5-year Estimates Insurance Estimates (SAHIE) New Sexually Transmitted InfectionsNew Cases of HIV and Syphilis New Cases of Chlamydia and GonorrheaSource: STD*MIS, Division of Disease Prevention, Virginia Department of Health; Source: STD*MIS, Division of Disease Prevention, Virginia Department of Health;Enhanced HIV/AIDS Reporting System (eHARS), Division of Disease Prevention, Enhanced HIV/AIDS Reporting System (eHARS), Division of Disease Prevention,Virginia Department of Health; data reported as of 12/31/2015 Virginia Department of Health; data reported as of 12/31/2015Prescription Opioid Overdose Mortality Rates OpioidsPer 100,000 Population Fentanyl and/or Heroin Overdose Mortality Rates Per 100,000 PopulationSource: Office of Chief Medical Examiner, Fatal Overdose Tables Source: Office of Chief Medical Examiner, Fatal Overdose Tables
Central Shenandoah Health District West Virginia Hospital2016 Population Highland RoCckoiunngthyam Virginia County 8,411,808Central Shenandoah Augusta HarriCsoitnyburg 296,650 County Bath County Staunton City RoCcokubnritdyge WaynCeitsyboro Lexington City Buena Vista CityVirginia Population by Race, 2016 Central Shenandoah Population by Race, 2016 0.6% 1.7% 0.5% 7.1% 6.4%20.6% 71.6% 91.4%Source: National Center for Health Statistics Source: National Center for Health StatisticsChronic Disease Hospitalization Three-Year Rolling Rates, 2010-2012 Local HD InformationPer 10,000 Population • By 2020, over 50% of Central Shenandoah Health District’s (CHSD) population will be over the age of 65. • Harrisonburg has seen a 26% growth rate since 2000, which is much higher than state or national averages. It serves as welcoming Refugee Resettlement area, and it has a growing Hispanic population.*No data available for asthma • CSHD responded to a regional Hepatitis ASource: Virginia Inpatient Hospitalization and Virginia Health Information outbreak in 2016. As part of the response, CSHD provided 145 Hepatitis A vaccines within theTop Reportable Communicable Diseases by Incidence Rate, 2016 community, immunizing over 15% of the small population.(Excluding Chronic Hepatitis and Sexually Transmitted Infections) • CSHD worked with Rockbridge Area Health Center to transition Title X Family Planning Services to theState Health District Locality Disease Rate Per health center. This allows family planning patients access to primary care, mental health, and dental Virginia Campylobacteriosis* 1180.08 ,000 services. Central Shenandoah Campylobacteriosis* • Environmental Health and Epidemiology worked Augusta County Campylobacteriosis* 62.9 to investigate multiple norovirus outbreaks at Bath County Campylobacteriosis* 37.7 an event venue in 2015. These outbreaks were Buena Vista City Pertussis 44.7 associated with a contaminated well, and the Harrisonburg City Campylobacteriosis* 60.4 district worked with the Office of Drinking Water Highland County Campylobacteriosis* 43.8 to restore safe drinking water and to have the well Lexington City Pertussis 90.3 regulated as a public water source going forward. Rockbridge County Campylobacteriosis* 96.4 Rockingham County Campylobacteriosis* 35.8 Staunton City Campylobacteriosis* 123.4 Waynesboro City Campylobacteriosis* 36.9 65.1*Food-borneSource: Virginia Electronic Disease Surveillance System (VEDSS)
Population in Poverty and Uninsured, 2014 Source: US Census Bureau STI Rates Per 100,000 PopulationAdults (18+) Reporting Poor MentalHealth in the Past 30 Days, 2014 Source: STD*MIS, Division of Disease Prevention, Virginia Department of Health; Enhanced HIV/AIDS Reporting System (eHARS), Division of Disease Prevention, Virginia Department of Health; data reported as of 12/31/2015Prescription Opioid Overdose Mortality Rates OpioidsPer 100,000 Population Fentanyl and/or Heroin Overdose Mortality Rates Per 100,000 PopulationSource: Office of Chief Medical Examiner, Fatal Overdose Tables Source: Office of Chief Medical Examiner, Fatal Overdose Tables
Central Virginia Health District2016 Population Lynchburg Amherst Hospital City County Virginia Central Virginia Population by Race, 2016 8,411,808 Appomattox 1.7% 0.4% Central Virginia County 18.2% 260,232 Bedford Campbell County CountyVirginia Population by Race, 2016 0.6% 7.1% 20.6% 71.6% 79.7%Source: National Center for Health Statistics Source: National Center for Health Statistics Adults (18+) Overweight or Obese Local HD Information Source: Source: Behavioral Risk Factor Surveillance System Central Virginia Health District (CVHD) is committed to improving the health outcomesRabies-Positive Animals, Central Virginia Health District of its residents. As explained in detail in CVHD’s Community Health Assessment and Skunk Goat Bat Groundhog Raccoon Dog Cat Fox Cow Grand Improvement Plan, throughout 2017, the Total district implemented several initiatives to2016 13 00 0 4 010 0 address its most pressing health concerns,2015 12 00 0 15 0 3 4 1 18 including:2014 18 02 1 9 014 1 • We Got the Beet, a healthy eating and2013 9 00 0 14 0 1 1 1 35 physical activity program launched in2012 14 13 0 8 206 1 36 partnership with Lynchburg Community Market and Virginia Cooperative Extension. 26 The program was found to increase produce 35 consumption and physical activity levels as well as improve participants’ healthSource: Virginia Department of Health Environmental Epidemoiology knowledge and cooking skills. • Free Naloxone and training on its administration, provided with Horizon Behavioral Health, to prevent opioid overdose. To attend the next class, please call the Lynchburg Health Department. • Bridges out of Poverty training and Getting Ahead classes, which aim to limit the impact of poverty. The initiatives enable professionals to better serve those in poverty, while offering low-income individuals the tools to improve their lives.
Population in Poverty and Uninsured, 2014 Source: US Census Bureau HIV and Total Early Syphilis* Rates Per 100,000 PopulationAdults (18+) Reporting Tobacco Use*,2014*Have smoked 100 cigarettes in their lifetime and now smoke every day or *Primary, secondary, and early latent Treponema pallidum infection. Excludes latesome days or use chewing tobacco, snuff, or snus latent and congenital syphilis.Source: Behavioral Risk Factor Surveillance System Source: STD*MIS, Division of Disease Prevention, Virginia Department of Health; Enhanced HIV/AIDS Reporting System (eHARS), Division of Disease Prevention, Virginia Department of Health; data reported as of 12/31/2015 OpioidsPrescription Opioid Overdose Mortality Rates Fentanyl and/or Heroin Overdose Mortality RatesPer 100,000 Population Per 100,000 PopulationSource: Office of Chief Medical Examiner, Fatal Overdose Tables Source: Office of Chief Medical Examiner, Fatal Overdose Tables
Chesapeake Health District Hospital Virginia 8,411,808 ChesapeakeChesapeake 237,940 City North CarolinaHow Chesapeake Compares with the State Chesapeake is ranked 44th of 135 locali�es in Virginia: the WORST we've ranked in 6 years!= Better Than State = Worse Than StateCHD Health Opportunity Index by Census Tract CHD Health Opportunity Index* Low Health Opportunity = BAD Overlaid with Life Expectancy at Birth** by Census TractVDH calculates a Health Opportunity Index, or HOI, Source: https:www.vdh.virginia.gov/omhhe/hoi/which visually and broadly depicts factors that relate to a *Health Opportunity Index examines 13 Social Determinants of Healthcommunity’s well-being. **Margin of Error can be large when calculating life expectancy at the census trct level. Some estimates were removed due to large margin of errors or other factors Data Sources: Office of Health Equity of VDH
CHD Health Opportunity Index* Meaning for Chesapeake Residents Overlaid with Poten�ally Avoidable Hospitaliza�on (PQIs 90) by Census Tract LIFE EXPECTANCY IS 12 YEARS SHORTER LIVING*Composite Index is based on the 13 indices that reflect a broad array of Social IN ONE AREA OFDeterminant of Health CHESAPEAKE VERSUS ANOTHER, AND RESIDENTS ARE 6 TIMES MORE LIKELY TO HAVE AN AVOIDABLE HOSPITAL STAY IN A LOW HOI. Healthy Chesapeake, Inc. The Healthy Chesapeake Coali�onwas established September 2015 to address popula�on health and focus groups iden�fied Ini�al Focus Priori�es to address the social determinants in the following areas... Healthy Ea�ngMISSION Behavioral HealthHealthy Chesapeake is committed to building a cultureof wellness that supports, sustains, and advocates for Ac�ve Lifestylesa healthier Chesapeake.VISION ...and adopted this strategyTo be ranked the healthiest community in Virginia perthe Robert Wood Johnson County Health Ranking Facilitate collabora�ons and provide resources for ci�zens, government, businesses, and non-profit agencies that are working to provide ideas, ac�ons, and solu�ons to health and quality of life issues addressed in a Community Ac�on Plan developed by the Coali�on and supported by the 501c(3s). Local gardens provide access to food and 2017-2018 Program Expansion engage community par�cipa�on and a At-Risk Youth Employment Program sense of inclusion and well-being Working gardens: youth sort, package, and distribute fruits and vegetables through food Healthy Chef - A mul�-part cooking school designed to banks. They also serve as ac�vity assistants at provide all age groups with the knowledge of how to summer feeding sites, neighborhood food stands, cook healthier, including how to use fresh foods to and mobile markets. supplement typical food pantry items. New Produc�on Gardens Garden2Table - 3 types of gardens: Individual Carver Intermediate: serving school andcommunity garden for residents, produc�on garden for Broadlawn Public Housing. distribu�on of product to low-income residents, and demonstra�on gardens for teaching youth and Lutheran Church: Aquaponic Garden serving community members. House of Blessings. Nancy Welch, MD, MHA, MBA Health Director Chesapeake Health Department 748 Ba�lefield Blvd N Chesapeake, VA 23320 (757) 382-8627 Email: [email protected]
Chesterfield Health District2016 Population Hospital Virginia 8,411,808 PowhatanChesterfield 385,224 County Chesterfield County Colonial Heights CityVirginia Population by Race, 2016 Chesterfield Population by Race, 2016 0.6% 3.9% 0.6% 7.1% 23.2% 20.6% 71.6% 72.3%Source: National Center for Health Statistics Source: National Center for Health StatisticsChronic Disease Hospitalization Three-Year Rolling Rates, 2010-2012 Local HD InformationPer 10,000 Population The Chesterfield Health District comprises three localities. In 2016, 683 onsite sewage permits were issued, and 2,992 food safety inspections were conducted.Source: Virginia Inpatient Hospitalization and Virginia Health InformationTop Reportable Communicable Diseases by Incidence Rate, 2016(Excluding Chronic Hepatitis and Sexually Transmitted Infections)State Health Locality Disease Rate PerVirginia District Campylobacteriosis* 1180.08,000 Chesterfield Salmonellosis* 16.8 Chesterfield County Salmonellosis* 15.5 Colonial Heights City Salmonellosis* 28.1 Powhatan County Spotted Fever 28.5 Rickettsiosis***Food-borne ** Including RMSFSource: Virginia Electronic Disease Surveillance System (VEDSS)
Population in Poverty and Uninsured, 2014 Source: US Census Bureau STI Rates Per 100,000 PopulationAdults (18+) Reporting Poor MentalHealth in the Past 30 Days, 2014Source: Behavioral Risk Factor Surveillance System Source: STD*MIS, Division of Disease Prevention, Virginia Department of Health; Enhanced HIV/AIDS Reporting System (eHARS), Division of Disease Prevention, Virginia Department of Health; data reported as of 12/31/2015 OpioidsPrescription Opioid Overdose Mortality Rates Fentanyl and/or Heroin Overdose Mortality RatesPer 100,000 Population Per 100,000 PopulationSource: Office of Chief Medical Examiner, Fatal Overdose Tables Source: Office of Chief Medical Examiner, Fatal Overdose Tables
Chickahominy Health District2016 Population Hanover Hospital Goochland County Virginia Chickahominy Population by Race, 2016 8,411,808 County Chickahominy 1.7% 0.9% 155,278 New Kent 13.2% County Charles City CountyVirginia Population by Race, 2016 0.6% 7.1% 20.6% 71.6% 84.2%Source: National Center for Health Statistics Source: National Center for Health StatisticsChronic Disease Hospitalization Three-Year Rolling Rates, 2010-2012 Health Behaviors, 2015Per 10,000 PopulationSource: Virginia Inpatient Hospitalization and Virginia Health Information Many residents of the Chickahominy Health District (HD) report healthyTop Three Causes of Death, 2013 (By Rate Per 100,00 Population) behaviors. In 2015, fewer adults in the Chickahominy HD (11.3%)Location #1 Cause #2 Cause #3 Cause reported any tobacco use (lifetime or current) compared to Virginia’sVirginia Cancer Heart disease Stroke average (19.4%). The percentage ofChickahominy HD Cancer Heart disease Stroke adults who reported binge drinking inCharles City County Cancer Heart disease Stroke the past 30 days in the ChickahominyGoochland County Heart Alzheimer’s disease HD (8.2%) was also less than the disease Cancer statewide average (16.3%). Finally,Hanover County Cancer the majority of Chickahominy HD Heart disease Chronic lower respiratory disease adults (84%) reported having a regular health care provider, which isNew Kent County Heart Cancer Chronic lower respiratory disease more than Virginia’s average (71.7%). disease One area that needs improvement,Source: VDH Division of Health Statistics however, relates to physical activity: more adults in Chickahominy HD (29%) reported not participating in any physical activity in the past month compared to Virginia’s average (25.1%). Source: Behavioral Risk Factor Surveillance System
Population in Poverty and Uninsured, 2014 Source: US Census Bureau STI RatesHIV and Total Early Syphilis Rates Chlamydia and Gonorrhea RatesPer 100,000 Population Per 100,000 PopulationSource: STD*MIS, Division of Disease Prevention, Virginia Department of Health; Source: STD*MIS, Division of Disease Prevention, Virginia Department of Health;Enhanced HIV/AIDS Reporting System (eHARS), Division of Disease Prevention, Enhanced HIV/AIDS Reporting System (eHARS), Division of Disease Prevention,Virginia Department of Health; data reported as of 12/31/2015 Virginia Department of Health; data reported as of 12/31/2015 OpioidsPrescription Opioid Overdose Mortality Rates Fentanyl and/or Heroin Overdose Mortality RatesPer 100,000 Population Per 100,000 PopulationSource: Office of Chief Medical Examiner, Fatal Overdose Tables Source: Office of Chief Medical Examiner, Fatal Overdose Tables
Crater Health District2016 Population Hopewell City PrinCcoeuGnetyorge Hospital Petersburg City Dinwiddie Surry County County Virginia Sussex County8,411,808 Emporia City Crater 155,665 Greensville County North CarolinaVirginia Population by Race, 2016 Crater Population by Race, 2016 0.6% 1.5% 0.6% 7.1%20.6% 48.2% 49.7% 71.6%Source: National Center for Health Statistics Source: National Center for Health StatisticsVirginia Population of Hispanic Origin, 2015: 9.0% Crater Population of Hispanic Origin, 2015: 4.8%Source: US Census Bureau Source: US Census BureauChronic Disease Hospitalization Three-Year Rolling Rates, 2010-2012 Local HD InformationPer 10,000 PopulationSource: Virginia Inpatient Hospitalization and Virginia Health InformationTop Reportable Communicable Diseases by Incidence Rate, 2016(Excluding Chronic Hepatitis and Sexually Transmitted Infections)State Health District Locality Disease Rate PerVirginia Dinwiddie County Campylobacteriosis* 1180.08 ,000 Crater Emporia City Campylobacteriosis* Campylobacteriosis* 13.4 Greensville County Haemophilus influenza 28.7 Hopewell City disease, invasive 36.4 Petersburg City Campylobacteriosis* Prince George County Campylobacteriosis* 16.8 Surry County Salmonellosis* 8.9 Sussex County Salmonellosis* 9.2 Campylobacteriosis* 23.8*Food-borne **Including RMSF Spotted Fever 59.6Source: Virginia Electronic Disease Surveillance System (VEDSS) Rickettsiosis** 25.6
Population in Poverty and Uninsured, 2014 Source: US Census Bureau STI Rates Per 100,000 PopulationAdults (18+) Reporting Poor MentalHealth in the Past 30 Days, 2014 Source: STD*MIS, Division of Disease Prevention, Virginia Department of Health; Enhanced HIV/AIDS Reporting System (eHARS), Division of Disease Prevention, Virginia Department of Health; data reported as of 12/31/2015Prescription Opioid Overdose Mortality Rates OpioidsPer 100,000 Population Fentanyl and/or Heroin Overdose Mortality Rates Per 100,000 PopulationSource: Office of Chief Medical Examiner, Fatal Overdose Tables Source: Office of Chief Medical Examiner, Fatal Overdose Tables
Cumberland Plateau Health District2016 Population Hospital Buchanan Virginia County 8,411,808 DickensonCumberland Plateau County Russell Tazewell 106,666 County CountyVirginia Population by Race, 2016 Cumberland Plateau Population by Race, 2016 0.6% 0.5% 0.2% 2.5% 7.1% 20.6% 71.6% 96.8%Source: National Center for Health Statistics Source: National Center for Health StatisticsChronic Disease Hospitalization Three-Year Rolling Rates, 2010-2012 Local HD InformationPer 10,000 Population Animal Bites In 2016, the district investigated and made recommendations for many reports of animal contact that may have potentially exposed residents to rabies–a virus that kills nearly all mammals (including humans) that it infects. Please vaccinate your animals and remember to enjoy wild animals from a distance!Source: Virginia Inpatient Hospitalization and Virginia Health Information Campylobacteriosis Campylobacteriosis is a common bacterialTop Reportable Communicable Diseases by Incidence Rate, 2016 illness that causes diarrhea and stomach ache, sometimes with nausea/vomiting. A(Excluding Chronic Hepatitis and Sexually Transmitted Infections) common source of infection is chicken and eggs. For more information on this and manyState Health Locality Disease Rate Per other health topics, please go to http://www.vdh.virginia.gov/health-topics-a-zVirginia District Campylobacteriosis* 1180.08,000 Opioids Cumberland Campylobacteriosis* 23.0 The health department is a partner working Plateau HD Campylobacteriosis * 8.8 to stop the heavy toll that the opioid Buchanan County Campylobacteriosis * 26.5 addiction crisis causes our communities. Dickenson County Campylobacteriosis * 43.0 Call your local health department and ask Russell County Campylobacteriosis * 16.3 about 1) free viral hepatitis testing, 2) free*Food-borne Tazewell County naloxone–the medicine that can save the life of someone in an opioid overdose, andSource: Virginia Electronic Disease Surveillance System (VEDSS) 3) information and help linking people to services.
Population in Poverty and Uninsured, 2014 Source: US Census Bureau STI Rates Per 100,000 PopulationAdults (18+) Reporting Poor MentalHealth in the Past 30 Days, 2014Source: Behavioral Risk Factor Surveillance System Source: STD*MIS, Division of Disease Prevention, Virginia Department of Health; Enhanced HIV/AIDS Reporting System (eHARS), Division of Disease Prevention, Virginia Department of Health; data reported as of 12/31/2015 OpioidsPrescription Opioid Overdose Mortality Rates Fentanyl and/or Heroin Overdose Mortality RatesPer 100,000 Population Per 100,000 PopulationSource: Office of Chief Medical Examiner, Fatal Overdose Tables Source: Office of Chief Medical Examiner, Fatal Overdose Tables
Eastern Shore Health District2016 Population Hospital Accomack County Virginia Northampton 8,411,808 CountyEastern Shore Atlantic Ocean 45,086Virginia Population by Race, 2016 Eastern Shore Population by Race, 2016 1.0% 0.6% 0.6% 7.1%20.6% 30.9% 71.6% 67.5%Source: National Center for Health Statistics Source: National Center for Health StatisticsChronic Disease Hospitalization Three-Year Rolling Rates, 2010-2012 Local HD InformationPer 10,000 Population The employees of the Eastern Shore Health District, VirginiaSource: Virginia Inpatient Hospitalization and Virginia Health Information Department of Health are people of the community, for the community. Our mission is to prevent illness and disease,Top Reportable Communicable Diseases by Incidence Rate, 2016 protect the environment, and promote optimal health and emergency preparedness for everyone on the Eastern Shore(Excluding Chronic Hepatitis and Sexually Transmitted Infections) of Virginia. Our vision is to drive Virginia’s Eastern Shore to the peak of personal, environmental, and community health, settingState Health Locality Disease Rate Per an example for others to follow. The Eastern Shore Health District encompasses the Virginia Virginia District Campylobacteriosis* 1180.08,000 portion of the Delmarva Peninsula, which is bounded by the Eastern Shore Campylobacteriosis* 70.9 Atlantic Ocean (the “seaside”) and the Chesapeake Bay (“the Accomack County Campylobacteriosis* 51.6 bayside”). The Eastern Shore is known as the land of pleasant Northampton County Campylobacteriosis* 123.4 living, where people enjoy “living like you like it.” We are home to some of the most productive shellfish growing waters in the*Food-borne world, many vineyards and wineries, and we produce most ofSource: Virginia Electronic Disease Surveillance System (VEDSS) the vegetables grown in the Commonwealth of Virginia. Many of these culinary delights are available in our local eateries. Two counties occur on the Eastern Shore of Virginia: to the south is Northampton County, which formally includes most of the barrier islands on the seaside of the Eastern Shore and the northern islands of the Chesapeake Bay Bridge-Tunnel complex. The northern county is Accomack County, which includes the county capital at Accomac. Note that the tradition of our names can be confusing! The best known features of Accomack County are the NASA Flight Center at Wallops Island and the resort community of Chincoteague, the access point for Assateague Island and the ponies that “live in the wild” there. The 2010 population of the Eastern Shore of Virginia was approximately 45,000 persons, living at a density of approximately 60 persons per square mile. These persons live in about 180 distinct communities with strong community loyalty and fidelity. The Health District provides most of the prenatal care on the Eastern Shore, as well as many services that can be found by starting at our website, http://www.vdh.virginia.gov/eastern- shore.
Population in Poverty and Uninsured, 2014 Source: US Census Bureau STI Rates Per 100,000 PopulationAdults (18+) Reporting Poor MentalHealth in the Past 30 Days, 2014Source: Behavioral Risk Factor Surveillance System Source: STD*MIS, Division of Disease Prevention, Virginia Department of Health; Enhanced HIV/AIDS Reporting System (eHARS), Division of Disease Prevention, Virginia Department of Health; data reported as of 12/31/2015Predominant Causes of Death, 2013 Adults (18+) Reporting Tobacco Use*,Per 100,000 Population 2014Cause Eastern Accomack Northampton Virginia *Have smoked 100 cigarettes in their lifetime and now smoke every day or Shore County County Rate Rate some days or use chewing tobacco, snuff, or snus HD Rate Rate Source: Behavioral Risk Factor Surveillance SystemCancer 244.7 241.9 249.2 161.3Heart disease 198.7 200.7 192.4 155.9 72.2 37.2Chronic lower 58.5 52.5 58.8 38.5respiratorydiseaseCerebrovascular 37.8 27.7diseaseSource: VDH Division of Health Statistics
Fairfax Health District2016 Population Hospital Virginia DCoislturmictbioaf 8,411,808 Falls Church Fairfax City 1,176,830 (Population: Fairfax City Fairfax 14,014) (Population: County (Population: 24,164) 1,138,652)Virginia Population by Race, 2016 Fairfax Population by Race, 2016 0.6% 0.7% 7.1% 20.7% 20.6% 10.7% 71.6% 67.9%Source: National Center for Health Statistics Source: National Center for Health StatisticsChronic Disease Hospitalization Three-Year Rolling Rates, 2010-2012 Local HD InformationPer 10,000 PopulationSource: Virginia Inpatient Hospitalization and Virginia Health Information Accreditation The Fairfax County Health DepartmentHighlighted Reportable Communicable Diseases, 2016 celebrated 100 years of excellence in 2017.(Excluding Chronic Hepatitis and Sexually Transmitted Infections) It traces its origins back to 1917, when there was just one nurse providing publicDisease Fairfax HD Rate Virginia Rate health services to a rural county of aboutCampylobacteriosis* Per 100,000 Per 100,000 21,000 people. Today, the departmentTuberculosis 22.4 provides a wide array of services to an 5.7 18.8 urban health district of 1.2 million people.Lyme disease 18.0 2.4 Throughout the years, the Department’s 16.1 commitment to excellence has remained consistent. As evidence of its high quality*Food-borne and performance, the Department achievedSource: Virginia Electronic Disease Surveillance System (VEDSS) national accreditation from the Public Health Accreditation Board in May of 2016. Opioids Fairfax County is working across sectors to engage our community and educate partners about opioid addiction. As we continue our work, we plan to use data to better integrate ongoing efforts, improve our ability to identify risk factors in real time, and effectively target our prevention and intervention strategies.
Population in Poverty and Uninsured, 2014 Source: US Census Bureau STI Rates Per 100,000 PopulationAdults (18+) Reporting Poor MentalHealth in the Past 30 Days, 2014Source: Behavioral Risk Factor Surveillance System Source: STD*MIS, Division of Disease Prevention, Virginia Department of Health; Enhanced HIV/AIDS Reporting System (eHARS), Division of Disease Prevention, Virginia Department of Health; data reported as of 12/31/2015 OpioidsPrescription Opioid Overdose Mortality Rates Fentanyl and/or Heroin Overdose Mortality RatesPer 100,000 Population Per 100,000 PopulationSource: Office of Chief Medical Examiner, Fatal Overdose Tables Source: Office of Chief Medical Examiner, Fatal Overdose Tables
Hampton Health District2016 Population Hospital Virginia Hampton 8,411,808 City Hampton OAtcleaanntic 135,410 Virginia Population by Race, 2016 Hampton Population by Race, 2016 0.6% 3.0% 0.7% 7.1% 52.7% 43.7% 20.6% 71.6%Source: National Center for Health Statistics Source: National Center for Health StatisticsChronic Disease Hospitalization Three-Year Rolling Rates, 2010-2012 Local HD InformationPer 10,000 Population Hampton Health District’s activities align with the VirginiaSource: Virginia Inpatient Hospitalization and Virginia Health Information Department of Health’s Plan for Well-Being:Top Reportable Communicable Diseases by Incidence Rate, 2016 Aim 1: Healthy, Connected Communities • Restaurant inspections and beach water testing(Excluding Chronic Hepatitis and Sexually Trasmitted Infections) • Community Health Assessment through community partnershipsState Health Locality Disease Rate Per • Community health education monthly broadcast on City TVVirginia District Hampton City Campylobacteriosis* 1180.08,000 Hampton Campylobacteriosis* 8.1 Aim 2: Strong Start for Children Shigellosis* 5.9 • The WIC Program provides nutrition education and*Food-borne Cryptosporidiosis* 5.9 supplemental foodsSource: Virginia Electronic Disease Surveillance System (VEDSS) Salmonellosis* 5.1 • Promotion of worksite Breastfeeding Welcome Here Project • Baby Basics for expectant families • Extended immunization clinic hours during back-to- school rush • Child Safety Seat Program and Safety Seat Check Station Aim 3: Preventive Actions • Family Planning Services allow families the choice to grow, or not • PrEP for people at risk for HIV infection • Every Woman’s Life prevents breast and cervical cancer • Chronic disease and diabetes self-management programs Aim 4: Systems of Healthcare • The Peninsula Collaborative of health districts and local health systems • Referrals between the local Federally Qualified Health Center and Free Clinic Hampton Health District 3130 Victoria Blvd, Hampton 757-727-1172
Population in Poverty and Uninsured, 2014 Source: US Census Bureau STI Rates Per 100,000 PopulationAdults (18+) Reporting Poor MentalHealth in the Past 30 Days, 2014Source: Behavioral Risk Factor Surveillance System Source: STD*MIS, Division of Disease Prevention, Virginia Department of Health; Enhanced HIV/AIDS Reporting System (eHARS), Division of Disease Prevention, Virginia Department of Health; data reported as of 12/31/2015 OpioidsPrescription Opioid Overdose Mortality Rates Fentanyl and/or Heroin Overdose Mortality RatesPer 100,000 Population Per 100,000 PopulationSource: Office of Chief Medical Examiner, Fatal Overdose Tables Source: Office of Chief Medical Examiner, Fatal Overdose Tables
Henrico Health District2016 Population Hospital Virginia Henrico8,411,808 County Henrico 326,501 Henrico Population by Race, 2016Virginia Population by Race, 2016 0.4% 0.6% 8.9% 7.1% 31.4% 59.4% 20.6% 71.6%Source: National Center for Health Statistics Source: National Center for Health StatisticsChronic Disease Hospitalization Three-Year Rolling Rates, 2010-2012Per 10,000 Population Local HD InformationSource: Virginia Inpatient Hospitalization and Virginia Health Information In 2017, over 1,300 surveys regarding community health strengths andTop Reportable Communicable Diseases by Incidence Rate, 2016 concerns were collected. Among Henrico’s strengths, residents listed(Excluding Chronic Hepatitis and Sexually Transmitted Infections) access to 24-hour police, fire, and rescue services; youth activitiesState Health Locality Disease Rate Per outside of school; and places of worship. Top health concernsVirginia District Campylobacteriosis* 1180.08,000 included mental health issues, Henrico Henrico County Campylobacteriosis* 14.5 drug and/or alcohol abuse, obesity,*Food-borne and nutrition. Residents listed aSource: Virginia Electronic Disease Surveillance System (VEDSS) few things that would improve quality of life in Henrico: more safe areas to walk or bike, better public transportation, and more affordable housing. Through active participation and collective efforts, we can achieve better health and well-being for our communities.
Population in Poverty and Uninsured, 2014 Source: US Census Bureau STI Rates Per 100,000 PopulationAdults (18+) Reporting Poor MentalHealth in the Past 30 Days, 2014Source: Behavioral Risk Factor Surveillance System Source: STD*MIS, Division of Disease Prevention, Virginia Department of Health; Enhanced HIV/AIDS Reporting System (eHARS), Division of Disease Prevention, Virginia Department of Health; data reported as of 12/31/2015 OpioidsPrescription Opioid Overdose Mortality Rates Fentanyl and/or Heroin Overdose Mortality RatesPer 100,000 Population Per 100,000 PopulationSource: Office of Chief Medical Examiner, Fatal Overdose Tables Source: Office of Chief Medical Examiner, Fatal Overdose Tables
Lenowisco Health District2016 Population Hospital Virginia Norton City Wise Lenowisco Population by Race, 20168,411,808 Kentucky CountyLenowisco 4.5% 0.4% 0.3% Lee Scott 89,201 County County TennesseeVirginia Population by Race, 2016 0.6% 7.1%20.6% 71.6% 94.8%Source: National Center for Health Statistics Source: National Center for Health StatisticsChronic Disease Hospitalization Three-Year Rolling Rates, 2010-2012 Local HD InformationPer 10,000 PopulationSource: Virginia Inpatient Hospitalization and Virginia Health Information Harmful Algal Blooms On Feb. 28, 2017, a bloom of blue-greenTop Reportable Communicable Diseases by Incidence Rate, 2016 algae was found in John W. Flannagan Reservoir in Dickenson County, which provides a source of drinking water to Wise and surrounding counties. Various organizations conducted tests on the reservoir water and did not find Cyanobacteria species at quantities, which pose risk of toxin production, nor toxin concentrations above health advisory levels for drinking water or recreational uses.(Excluding Chronic Hepatitis and Sexually Transmitted Infections)State Health District Locality Disease Rate Per Virginia Campylobacteriosis* 1180.08,000 Lenowisco Campylobacteriosis* 22.1 Lee County Campylobacteriosis* 12.1 Wise County Campylobacteriosis* 15.1 Scott County Shigellosis 58.8 Norton City Hepatitis C** 50.8*Food-borne **Blood-borneSource: Virginia Electronic Disease Surveillance System (VEDSS)
Population in Poverty and Uninsured, 2014 Source: US Census Bureau STI Rates Per 100,000 PopulationAdults (18+) Reporting Poor MentalHealth in the Past 30 Days, 2014Source: Behavioral Risk Factor Surveillance System Source: STD*MIS, Division of Disease Prevention, Virginia Department of Health; Enhanced HIV/AIDS Reporting System (eHARS), Division of Disease Prevention, Virginia Department of Health; data reported as of 12/31/2015 OpioidsPrescription Opioid Overdose Mortality Rates Fentanyl and/or Heroin Overdose Mortality RatesPer 100,000 Population Per 100,000 PopulationSource: Office of Chief Medical Examiner, Fatal Overdose Tables Source: Office of Chief Medical Examiner, Fatal Overdose Tables
Lord Fairfax Health District West Virginia Frederick Winchester Hospital County City2016 Population Lord Fairfax Population by Race, 2016 Clarke 1.7% 0.5% County 5.5% Virginia Shenandoah Warren 8,411,808 County CountyLord Fairfax 232,295 Page CountyVirginia Population by Race, 2016 0.6% 7.1%20.6% 71.6% 92.3%Source: National Center for Health Statistics Source: National Center for Health StatisticsChronic Disease Hospitalization Three-Year Rolling Rates, 2010-2012 Local HD InformationPer 10,000 PopulationSource: Virginia Inpatient Hospitalization and Virginia Health Information The Lord Fairfax Health District spans 1,652 square miles ofTop Reportable Communicable Diseases by Incidence Rate, 2016 the Shenandoah Valley of northwestern Virginia. It is a very(Excluding Chronic Hepatitis and Sexually Transmitted Infections) diverse area containing a mix of landscapes including forest, farms,State Health Locality Disease Rate Per suburbs, towns, and a city. The district provides public health Virginia District Campylobacteriosis* 1180.08,000 services to the counties of Clarke, Lord Fairfax Lyme disease 47.2 Frederick, Warren, Shenandoah, Clarke County Lyme disease 97.5 Page and the City of Winchester. Frederick County Lyme disease 49.3 The mission of Lord Fairfax Health Page County Campylobacteriosis* 54.8 District is to provide public health Shenandoah County Campylobacteriosis* 69.5 leadership with and for the Warren County Lyme disease 56.3 communities we serve. For more Winchester City Campylobacteriosis* 33.0 information, please visit www.vdh.virginia.gov/lord-fairfax.*Food-borneSource: Virginia Electronic Disease Surveillance System (VEDSS)
Population in Poverty and Uninsured, 2014 Source: US Census Bureau STI Rates Per 100,000 PopulationAdults (18+) Reporting Poor MentalHealth in the Past 30 Days, 2014Source: Behavioral Risk Factor Surveillance System Source: STD*MIS, Division of Disease Prevention, Virginia Department of Health; Enhanced HIV/AIDS Reporting System (eHARS), Division of Disease Prevention, Virginia Department of Health; data reported as of 12/31/2015 OpioidsPrescription Opioid Overdose Mortality Rates Fentanyl and/or Heroin Overdose Mortality RatesPer 100,000 Population Per 100,000 PopulationSource: Office of Chief Medical Examiner, Fatal Overdose Tables Source: Office of Chief Medical Examiner, Fatal Overdose Tables
Loudoun Health District2016 Population Maryland Hospital Virginia Loudoun8,411,808 CountyLoudoun 385,945Virginia Population by Race, 2016 Loudoun Population by Race, 2016 0.6% 0.5% 7.1% 20.6% 19.8% 8.4% 71.6% 71.3% Source: National Center for Health Statistics Source: National Center for Health StatisticsVirginia Population of Hispanic Origin, 2016: 9.1% Loudoun Population of Hispanic Origin, 2016: 13.7%Source: US Census Bureau Source: US Census BureauChronic Disease Hospitalization Three-Year Rolling Rates, 2010-2012 Local HD InformationPer 10,000 Population Loudoun Health District is accredited by the Public Health Accreditation Board (PHAB). The district’s mission is to provide services that protect and enhance the health and well-being of all people in Loudoun County. In order to accomplish this mission, key areas of focus include:Source: Virginia Inpatient Hospitalization and Virginia Health Information Control of Communicable Disease Loudoun is a quickly growing and diversifyingTop Reportable Communicable Diseases by Incidence Rate, 2016 community in the National Capital Region, and it has a major international airport. With that(Excluding Chronic Hepatitis and Sexually Transmitted Infections) comes a growing risk of disease transmission and outbreaks, whether occurring naturally or as aState Health Locality Disease Rate Per result of bioterrorism. Access to CareVirginia District Loudoun County Campylobacteriosis* 1180.08,000 An increasing number of Loudoun residents have Loudoun Lyme disease 47.7 difficulty accessing medical care. The Health*Food-borne District works with the Loudoun Health Council,Source: Virginia Electronic Disease Surveillance System (VEDSS) local hospitals, and healthcare providers to expand access to care. Clean and Healthy Environment Much of Loudoun County relies on wells and septic systems. The Health District works on reducing the risk of groundwater and surface water contamination from septic systems and other pollution sources.
Population in Poverty and Uninsured, 2014 Source: US Census Bureau STI Rates Per 100,000 PopulationAdults (18+) Reporting Poor MentalHealth in the Past 30 Days, 2014Source: Behavioral Risk Factor Surveillance System Source: STD*MIS, Division of Disease Prevention, Virginia Department of Health; Enhanced HIV/AIDS Reporting System (eHARS), Division of Disease Prevention, Virginia Department of Health; data reported as of 12/31/2015 OpioidsPrescription Opioid Overdose Mortality Rates Fentanyl and/or Heroin Overdose Mortality RatesPer 100,000 Population Per 100,000 PopulationSource: Office of Chief Medical Examiner, Fatal Overdose Tables Source: Office of Chief Medical Examiner, Fatal Overdose Tables
Mount Rogers Health District2016 Population West Virginia Hospital CBoluanndty Virginia Smyth Wythe County 8,411,808 CountyMount Rogers 189,178 Washington County Grayson Carroll County County TeBnrinsteosl sCeitey North Carolina Galax CityVirginia Population by Race, 2016 Mount Rogers Population by Race, 2016 0.6% 2.8% 0.6% 0.3% 7.1%20.6% 71.6% 96.3%Source: National Center for Health Statistics Source: National Center for Health StatisticsChronic Disease Hospitalization Three-Year Rolling Rates, 2010-2012 Local HD InformationPer 10,000 Population NASSource: Virginia Inpatient Hospitalization and Virginia Health Information Mount Rogers Health District is greatly affected by the opioid crisis that has hitTop Reportable Communicable Diseases by Incidence Rate, 2016 Virginia and our nation. We have focused on helping the most vulnerable in our(Excluding Chronic Hepatitis and Sexually Transmitted Diseases) community, those born with Neonatal Abstinence Syndrome (NAS). MRHDState Health District Locality Disease Rate Per collaborates with area birthing centers and community agencies to ensure continuity Virginia Campylobacteriosis* 1180.08 ,000 of care after hospitalization. Our BabyCare Mount Rogers Lyme disease home-visitation program provides a Bland County Shigellosis* 48.0 registered nurse to help these high-risk Bristol City Campylobacteriosis* 45.7 babies and their families through case Carroll County Lyme disease 11.7 management and care coordination. Galax City Lyme disease 131.2 Rabies Prevention Grayson County Lyme disease 188.0 Mount Rogers Health District has partnered Smyth County Campylobacteriosis* 87.4 with the US Department of Agriculture Washington County Campylobacteriosis* 57.2 and Wildlife Services in the Oral Rabies Lyme disease 27.5 Vaccination (ORV) program to stem the Wythe County 82.4 westward spread of raccoon rabies since*Food-borne 2000.Source: Virginia Electronic Disease Surveillance System (VEDSS) Population Health and Hospital Merger Mount Rogers Health District looks forward to working with our hospital system to improve the health and well-being of our community through population health planning and action.
Population in Poverty and Uninsured, 2014 Source: US Census Bureau STI Rates Per 100,000 PopulationAdults (18+) Reporting Poor MentalHealth in the Past 30 Days, 2014Source: Behavioral Risk Factor Surveillance System Source: STD*MIS, Division of Disease Prevention, Virginia Department of Health; Enhanced HIV/AIDS Reporting System (eHARS), Division of Disease Prevention, Virginia Department of Health; data reported as of 12/31/2015Prescription Opioid Overdose Mortality Rates OpioidsPer 100,000 Population Fentanyl and/or Heroin Overdose Mortality Rates Per 100,000 PopulationSource: Office of Chief Medical Examiner, Fatal Overdose Tables Source: Office of Chief Medical Examiner, Fatal Overdose Tables
New River Health District2016 Population West Virginia Hospital Giles County Montgomery Virginia County8,411,808 PulaskiNew River County 182,876 Floyd County Radford CityVirginia Population by Race, 2016 New River Population by Race, 2016 0.6% 4.2% 0.3% 5.0% 7.1%20.6% 71.6% 90.5%Source: National Center for Health Statistics Source: National Center for Health StatisticsChronic Disease Hospitalization Three-Year Rolling Rates, 2010-2012Per 10,000 Population Local HD Information Vaccinations New River Health Department (NRHD) partnered with local public schools and Virginia Tech to host fall flu vaccine campaigns in 35 public schools (2,900 vaccinations) and two international student vaccination clinics at Virginia Tech (550 vaccinations). Plans are to return to public schools in spring for Tdap, HPV, and meningococcal clinics for incoming sixth graders.Source: Virginia Inpatient Hospitalization and Virginia Health Information Opioid Crisis NRHD has collaborated with New River ValleyTop Reportable Communicable Diseases by Incidence Rate, 2016 Community Services (NRVCS) to dispense naloxone at Revive! Trainings as well as(Excluding Chronic Hepatitis and Sexually Transmitted Infections) with primary care providers and hospices to distribute drug deactivation kits.State Health Locality Disease Rate Per WIC NRHD has acquired a mobile unit to provide Virginia District Campylobacteriosis* 1180.08,000 outreach and accessible services throughout New River Lyme disease 154.6 the community. Floyd County Lyme disease 466.4 Environmental Health (EH) Giles County Lyme disease 125.7 NRHD EH staff are mentoring other districts Montgomery County Lyme disease 100.4 regarding the FDA Retail Program standards. Pulaski County Lyme disease 195.2 Radford City Lyme disease 126.4*Food-borneSource: Virginia Electronic Disease Surveillance System (VEDSS)
Population in Poverty and Uninsured, 2014 Source: US Census Bureau STI Rates Per 100,000 PopulationAdults (18+) Reporting Poor MentalHealth in the Past 30 Days, 2014Source: Behavioral Risk Factor Surveillance System Source: STD*MIS, Division of Disease Prevention, Virginia Department of Health; Enhanced HIV/AIDS Reporting System (eHARS), Division of Disease Prevention, Virginia Department of Health; data reported as of 12/31/2015 OpioidsPrescription Opioid Overdose Mortality Rates Fentanyl and/or Heroin Overdose Mortality RatesPer 100,000 Population Per 100,000 PopulationSource: Office of Chief Medical Examiner, Fatal Overdose Tables Source: Office of Chief Medical Examiner, Fatal Overdose Tables
Norfolk City Health District2016 Population Hospital Virginia Norfolk City 8,411,808 AtlanticNorfolk City Ocean 245,115Virginia Population by Race, 2016 Norfolk City Population by Race, 2016 0.6% 4.4% 0.8% 7.1% 44.3% 50.4% 20.6% 71.6%Source: National Center for Health Statistics Source: National Center for Health StatisticsPopulation in Poverty and Uninsured, 2014 Local HD Information The Norfolk Department of Public Health is committed to improving the health of Norfolk through our Community Health Assessment and Improvement Plan. The foundation of the assessment is based upon diverse input from stakeholders and broad community participation. Supporting the Virginia Department of Health’s Plan for Wellbeing, the top priorities identified through this collaborative process are: Source: US Census Bureau Chronic disease prevention—Chronic illnesses, including obesity, heart disease, andChronic Disease Hospitalization Three-Year Rolling Rates, 2010-2012 cancer impact the health of the community.Per 10,000 Population Sexual health—Norfolk has high rates of teen pregnancy and sexually transmitted infections that particularly affect minority residents. Safe communities—High rates of crime and violence impact how safe residents feel in their neighborhoods and prevent them from accessing outdoor physical activity opportunities, taking care of their neighborhoods, and developing a sense of community.Source: Virginia Inpatient Hospitalization and Virginia Health Information Norfolk’s Improvement Plan has established goals, objectives, and action steps for priority areas which are designed to improve the overall health, wellbeing and safety of our community.
Adults (18+) Reporting Poor Mental Adults (18+) Reporting Physical Inactivity* orHealth in the Past 30 Days, 2015 Tobacco Use**, 2015Source: Behavioral Risk Factor Surveillance System *Did not participate in any physical activities in the past month **Have smoked 100 cigarettes in their lifetime and now smoke every day or someChlamydia and Gonorrhea Rates days or use chewing tobacco, snuf, or snusPer 100,000 Population Source: Behavioral Risk Factor Surveillance System STI HIV and Syphilis Rates Per 100,000 PopulationSource: STD*MIS, Division of Disease Prevention, Virginia Department of Health; Source: STD*MIS, Division of Disease Prevention, Virginia Department of Health;Enhanced HIV/AIDS Reporting System (eHARS), Division of Disease Prevention, Enhanced HIV/AIDS Reporting System (eHARS), Division of Disease Prevention,Virginia Department of Health; data reported as of 12/31/2015 Virginia Department of Health; data reported as of 12/31/2015 OpioidsPrescription Opioid Overdose Mortality Rates Fentanyl and/or Heroin Overdose Mortality RatesPer 100,000 Population Per 100,000 PopulationSource: Office of Chief Medical Examiner, Fatal Overdose Tables Source: Office of Chief Medical Examiner, Fatal Overdose Tables
Peninsula Health District2016 Population James City Hospital County Peninsula Population by Race, 2016 Virginia Williamsburg York County 4.5% 0.6%8,411,808 City PoquosonOAtcleaannticPeninsula Newport 351,436 News City CityVirginia Population by Race, 2016 0.6% 7.1%20.6% 29.2% 65.6% 71.6%Source: National Center for Health Statistics Source: National Center for Health StatisticsChronic Disease Hospitalization Three-Year Rolling Rates, 2010-2012 Local HD InformationPer 10,000 Population Peninsula Health District activities align with the VirginiaSource: Virginia Inpatient Hospitalization and Virginia Health Information Department of Health’s Plan for Well-Being and the Virginia Shared Agenda for Chronic Disease PreventionTop Reportable Communicable Diseases by Incidence Rate, 2016 Collaborative Network: Aim 1: Healthy, Connected Communities(Excluding Chronic Hepatitis and Sexually Transmitted Infections) • Restaurant inspections and beach water testingState Health Locality Disease Rate Per • Community Health Assessment through Virginia District Campylobacteriosis* 1180.08,000 community partnerships Peninsula Salmonellosis* 12.8 • Community Health Worker (CHW) Program James City County Campylobacteriosis* 12.3 • Comprehensive Health Investment Project Newport News City Shigellosis* 13.2 Poquoson City Campylobacteriosis* 16.6 (CHIP) partnership Williamsburg City Salmonellosis* 93.0 Aim 2: Strong Start for Children York County Salmonellosis* 16.2 • The WIC Program provides nutrition education*Food-borne and supplemental foodsSource: Virginia Electronic Disease Surveillance System (VEDSS) • Promotion of worksite Breast Feeding Welcome Here Program • Safe Sleep for Baby • Extended immunization clinic hours during the back-to-school rush Aim 3: Preventive Actions • Family Planning Services allows families to choose to grow, or not • PrEP for people at risk for HIV infection • Chronic disease and diabetes self- management programs • Low Income Safety Seat Distribution Program (LISSDEP) Aim 4: Systems of Healthcare • PreAdmission Screenings (PAS) • The Peninsula Collaborative of health districts and local health systems • Referrals between the local Federally Qualified Health Center and Free Clinic • Paramedicine partnership with Newport News Fire Department Peninsula Health District 416 J. Clyde Morris Blvd, Newport News 757-594-7300
Population in Poverty and Uninsured, 2014 Source: US Census Bureau STI Rates Per 100,000 PopulationAdults (18+) Reporting Poor MentalHealth in the Past 30 Days, 2014Source: Behavioral Risk Factor Surveillance System Source: STD*MIS, Division of Disease Prevention, Virginia Department of Health; Enhanced HIV/AIDS Reporting System (eHARS), Division of Disease Prevention, Virginia Department of Health; data reported as of 12/31/2015 OpioidsPrescription Opioid Overdose Mortality Rates Fentanyl and/or Heroin Overdose Mortality RatesPer 100,000 Population Per 100,000 PopulationSource: Office of Chief Medical Examiner, Fatal Overdose Tables Source: Office of Chief Medical Examiner, Fatal Overdose Tables
Piedmont Health District2016 Population Cumberland Hospital Virginia Buckingham County Piedmont Population by Race, 2016 8,411,808 Piedmont County 0.8% 0.5% 102,752 Amelia Prince Edward County County Nottoway County Charlotte Lunenburg County CountyVirginia Population by Race, 2016 0.6% 7.1%20.6% 33.2% 65.6% 71.6%Source: National Center for Health Statistics Source: National Center for Health StatisticsChronic Disease Hospitalization Three-Year Rolling Rates, 2010-2012 Local HD InformationPer 10,000 Population The Piedmont Health district is comprised of seven rural counties and covers 3,000 square miles. In 2016, 557 onsite sewage/ well permits were issued, and 873 food safety inspections were conducted.Source: Virginia Inpatient Hospitalization and Virginia Health InformationTop Reportable Communicable Diseases by Incidence Rate, 2016(Excluding Chronic Hepatitis and Sexually Transmitted Infections)State Health Locality Disease Rate PerVirginia District Amelia County Campylobacteriosis* 1180.08,000 Piedmont Buckingham County Salmonellosis* 29.2 Charlotte County Cryptosporidiosis* 15.5 Salmonellosis* 23.5 Spotted Fever 65.6 Cumberland County Rickettsiosis** 41.2 Lunenburg County Salmonellosis* 24.4 Nottoway County Campylobacteriosis* 38.3 Prince Edward County Salmonellosis* 26.1 Salmonellosis**Food-borne **Including RMSFSource: Virginia Electronic Disease Surveillance System (VEDSS)
Population in Poverty and Uninsured, 2014 Source: US Census Bureau STI Rates Per 100,000 PopulationAdults (18+) Reporting Poor MentalHealth in the Past 30 Days, 2014Source: Behavioral Risk Factor Surveillance System Source: STD*MIS, Division of Disease Prevention, Virginia Department of Health; Enhanced HIV/AIDS Reporting System (eHARS), Division of Disease Prevention, Virginia Department of Health; data reported as of 12/31/2015 OpioidsPrescription Opioid Overdose Mortality Rates Fentanyl and/or Heroin Overdose Mortality RatesPer 100,000 Population Per 100,000 PopulationSource: Office of Chief Medical Examiner, Fatal Overdose Tables Source: Office of Chief Medical Examiner, Fatal Overdose Tables
Pittsylvania/Danville Health District2016 Population Hospital Virginia Pittsylvania 8,411,808 CountyPittsylvania/Danville 103,585 Danville City North CarolinaVirginia Population by Race, 2016 Pittsylvania/Danville Population by Race, 2016 0.6% 0.9% 0.4% 7.1%20.6% 33.8% 71.6% 65.0%Source: National Center for Health Statistics Source: National Center for Health StatisticsChronic Disease Hospitalization Three-Year Rolling Rates, 2010-2012 Local HD InformationPer 10,000 PopulationSource: Virginia Inpatient Hospitalization and Virginia Health Information The Pittsylvania/Danville Health district is composed of twoTop Reportable Communicable Diseases by Incidence Rate, 2016 jurisdictions: Pittsylvania County and the City of Danville, a total area of(Excluding Chronic Hepatitis and Sexually Transmitted Infections) 1,045 square miles. Pittsylvania is rural, with farming (mostly tobacco)State Health Locality Disease Rate Per and light industry as the major economic activities and a per capitaVirginia District Campylobacteriosis* 1180.08,000 income of $11,196. Danville is a Pittsylvania/ Salmonellosis* 10.5 major tobacco market and also has Danville Legionellosis 11.9 textile mills and other light industry Danville City Salmonellosis* 12.9 in its economic base with a per capita*Food-borne Pittsylvania County income of $11,344. Health department services areSource: Virginia Electronic Disease Surveillance System (VEDSS) provided by the staff, public/private partnerships, and volunteers. Most services are provided on a sliding fee scale based on a client’s income. Free services include childhood immunizations and STD services.
Population in Poverty and Uninsured, 2014 Source: US Census Bureau STI Rates Per 100,000 PopulationAdults (18+) Reporting Poor MentalHealth in the Past 30 Days, 2014Source: Behavioral Risk Factor Surveillance System Source: STD*MIS, Division of Disease Prevention, Virginia Department of Health; Enhanced HIV/AIDS Reporting System (eHARS), Division of Disease Prevention, Virginia Department of Health; data reported as of 12/31/2015 OpioidsPrescription Opioid Overdose Mortality Rates Fentanyl and/or Heroin Overdose Mortality RatesPer 100,000 Population Per 100,000 PopulationSource: Office of Chief Medical Examiner, Fatal Overdose Tables Source: Office of Chief Medical Examiner, Fatal Overdose Tables
Portsmouth Health District2016 Population Hospital Virginia Portsmouth 8,411,808 CityPortsmouth OAtcleaanntic 95,252 Portsmouth Population by Race, 2016Virginia Population by Race, 2016 1.8% 0.7% 0.6% 7.1% 41.8% 20.6% 55.7% 71.6%Source: National Center for Health Statistics Source: National Center for Health StatisticsChronic Disease Hospitalization Three-Year Rolling Rates, 2010-2012 Where We Live, Work and PlayPer 10,000 Population MattersSource: Virginia Inpatient Hospitalization and Virginia Health Information In Portsmouth: • 6,112 companies call Portsmouth home.Top Reportable Communicable Diseases by Incidence Rate, 2016 • 84.9% of residents have a high school degree or higher.(Excluding Chronic Hepatitis and Sexually Transmitted Infections) • 463 food establishments are inspected annually.State Health Locality Disease Rate Per • There are six recreation centers and 42 parks, playgrounds, and athletic areas. Virginia District Campylobacteriosis* 1180.08,000 • Community health workers have logged Portsmouth Portsmouth City Salmonellosis* 11.4 577.5 hours in the community in 2017. • There are 11.7 miles of bike lanes.*Food-borne • Over 450 physical activity events were heldSource: Virginia Electronic Disease Surveillance System (VEDSS) in 2017. • Home to The Coast Guard 5th District Headquarters and US Coast Guard Base Portsmouth, Norfolk Naval Shipyard, and the Portsmouth Naval Medical Center. • There are 13 square miles of shore line. • The top five largest employers are the U.S. Department of Defense, Maryview Hospital, Portsmouth City Public Schools, City of Portsmouth, and Virginia International Terminal.
Population in Poverty and Uninsured, 2014 Source: US Census Bureau STI Rates Per 100,000 PopulationAdults (18+) Reporting Poor MentalHealth in the Past 30 Days, 2014Source: Behavioral Risk Factor Surveillance System Source: STD*MIS, Division of Disease Prevention, Virginia Department of Health; Enhanced HIV/AIDS Reporting System (eHARS), Division of Disease Prevention, Virginia Department of Health; data reported as of 12/31/2015 OpioidsPrescription Opioid Overdose Mortality Rates Fentanyl and/or Heroin Overdose Mortality RatesPer 100,000 Population Per 100,000 PopulationSource: Office of Chief Medical Examiner, Fatal Overdose Tables Source: Office of Chief Medical Examiner, Fatal Overdose Tables
Prince William Health District2016 Population Hospital Virginia District of 8,411,808 Columbia Prince William 512,608 Manassas Manassas City Park City Prince William CountyVirginia Population by Race, 2016 Prince William Population by Race, 2016 0.6% 1.3% 7.1% 9.7%20.6% 22.5% 71.6% 66.4%Source: National Center for Health Statistics Source: National Center for Health StatisticsVirginia Population of Hispanic Origin, 2016: 9.0% Prince William Population of Hispanic Origin, 2015: 22.9%Source: US Census Bureau Source: US Census BureauChronic Disease Hospitalization Three-Year Rolling Rates, 2010-2012 Health Begins Where ResidentsPer 10,000 Population Live, Work, and PlaySource: Virginia Inpatient Hospitalization and Virginia Health Information • Chief Strategists- Facilitate community partners to build healthy communities.Top Reportable Communicable Diseases by Incidence Rate, 2016 • Globalization and Travel- Addresses emerging communicable diseases.(Excluding Chronic Hepatitis and Sexually Transmitted Infections) • Life expectancy- Works toward changing the environment to make the healthy choiceState Health Locality Disease Rate Per the easy choice and improve life expectancy, health outcomes, and save money. Virginia District Campylobacteriosis* 1180.08,000 • Aging- Completes referrals for nursing home Prince William Campylobacteriosis* 13.0 and personal care screenings, a service that Manassas City Campylobacteriosis* 13.8 impacts the health and safety of our elderly Manassas Park City Campylobacteriosis* 12.7 and disabled population. Prince William County Campylobacteriosis* 12.6 • Environment- Enforces state and local codes and regulations designed to protect public*Food-borne health and safety.Source: Virginia Electronic Disease Surveillance System (VEDSS) • Preparedness- Prepares the community to respond to terrorism as well as natural and other public health threats. • WIC- Gives access to healthy food, nutrition education, and breastfeeding guidance. For more information, please visit www.behealthybehappyprincewilliam.com
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